Individual
SUSAN GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 S GARNETT RD, SUITE G, TULSA, OK 74128-1836
(918) 878-7877
(918) 878-7882
Mailing address
5723 E 31ST ST STE G, TULSA, OK 74135-5102
(918) 269-9156
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
06/12/2014
Last updated
08/01/2023
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